<p>8807 Niederwald Strasse Tel. 512-398-6338 </p><p>Niederwald, Texas 78640 Fax: 512-376-9966</p><p>OSSF TECHNICAL INFORMATION SHEET Project Address Owner Name Professional Design required? _Yes No (If yes, attach copy to this form) Sewer (House Drain) Type and size of pipe Slope of sewer pipe to tank Daily wastewater usage rate (gallons/day) Treatment Unit A. Septic Tank 1. Dimensions ______2. Liquid depth ______(Tank bottom to outlet) 3. Size required ______4. Size proposed ______B. Aerobic Pretreatment Tank? ____Yes ____ No 1. Manufacturer ______2. Model ______3. Size required ______4. Size proposed ______C. Other Please attach description Disposal System 1. Type______2. Loading Rate ______3. Area Required ______4. Area Proposed ______</p><p>Additional Information (This material must be attached for review to be completed) 1. Site Evaluation 2. Pump Alarm Diagram 3. Scaled site drawing to include spray area 4. Filed affidavit Construction is not permitted until application is approved and a permit is issued. Unauthorized construction can result in Civil and/or Administrative penalties.</p><p>______Designer's Signature Reg/License. # Date</p>